Individual
JENNIFER SWANK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20200 SE 41ST ST, HARRAH, OK 73045-6095
(405) 391-4502
Mailing address
20200 SE 41ST ST, HARRAH, OK 73045-6095
(405) 391-4502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
950
OK
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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